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DEMO-18-1550Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit NO. DEMO-6I-1$-1 550 Permit Type: Demolition Work Classification: Building Permit Status: APPROVED Issue Date: 6/26/2018 Expiration: 12/23/2018 Parcel Number Applicant 195 NW 91 Street Miami Shores, FL 33138- 1131010000190 Block: Lot: ERIC BANCROFT Owner Information Address Phone Cell ERIC BANCROFT 195 NW 91 Street MIAMI SHORES FL 33150- (305)713-3344 Contractor(s) HOME OWNER Valuation: Total Sq Feet: $ 400.00 0 Type of Demo: Building Additional Info: DEMO GARAGE CABINETS, BARS, PANELIN Classification: Residential Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Amount $0.60 $2.00 $2.00 $0.20 $100.00 $9.00 $0.80 Total: $114.60 Pay Date Pay Type Amt Paid Amt Due Invoice # DEMO-6-18-67823 06/26/2018 Credit Card $ 64.60 $ 50.00 06/06/2018 Credit Card $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final Review Building In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoFuthermore, I authorize the above -named contractor to do the work stated. Authorized Signature: Owner / Applicant / tractor / Agent June 26, 2018 Date Building Department Copy June 26, 2018 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)796-2204 Fax: (305)756-8972 Inspection Number: INSP-305913 Permit Number: DEMO-6-18-1550 Scheduled Inspection Date: August 17, 2018 Inspector: Naranjo, Ismael Owner: BANCROFT, ERIC Job Address: 195 NW 91 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Demolition Inspection Type: Final Work Classification Building Phone Number (305 713-3344 Parcel Number 1'131010000190 Building Department Comments DEMO GARAGE CABINETS, BARS, PANELING Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid August 16, 2018 For Inspections please call: (305)762-4949 Page 8of31 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑MECHANICAL PUBLICS JOB ADDRESS: 135 /VK) qrl cS�l`C�T City: Miami Shores Folio/Parcel#: I!' 3/0`OCO - 0190 Occupancy Type: Load: Construction Type: County: RECEIVED JUN 0 6 2018 C�v 1. FBC 2Of Master Permit NoT1u-t10E11—•" 10 Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS Miami Dade Is the Building Historically Designated: Yes Flood Zone: Zip: 33/so NO X BFE: FFE: OWNER: Name (Fee Simple Titleholder): 1g/ SOW (iZ) 7 Phone#: 305 - '7/s-33 y y Address: / `IS /Vt3 i' 57gssir City: M /AM) 62012F-5 State: 1 L Zip: 33 %5 Tenant/Lessee Name: Phone#: Email: ER/LBAJVGRbFT( 6MA/L. (OM CONTRACTOR: Company Name: S2._,f / D141 Phone#: 30 5- 7/3-339 Address: !!! City: State: Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ Yvo • Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Demolition Description of Work: bC/V1O 6Ag b 64.g/,t E7 / &4/� y P4M-L/A/r ) Specify color of color thru tile: Submittal Fee $ Permit Fee $ (00 • CCF $ CO/CC $ Scanning Fee $ Radon Fee $ 2-• DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Structural Reviews $ Double Fee $ Bond $ / TOTAL FEE NOW DUE $ / `T' 00 (Revised02/24/2014) r - City ._ s Bonding Company's'Name (if applicable) ) 4 _' Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address 4. r State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed 'to meet the standards of all laws regulating construction In this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. r "WARNING 'TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." • Notice to Applicant: As a condition to the' issuance of a building permit with an estimated value exceeding $2500, the'applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a rei pection fee will be charged. . - Signature f Signature NER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this In`�,.,� day of .! �,,. , 20 �� , by day of , 20 , by T c. +�— g AN (404, ho is personally known to , who is personally known to me or who has produced O21•Jf(Z - identification and who did take an oath. as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Print:. Seal: APPROVED BY Sign: Print: Seal: Plans Examiner Structural Review • : Zoning Clerk (Revised02/24/2014) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNER BUILDER DISCLOSURE STATEMENT �n NAME: Er-4 - &A/ca2�)F-1' DATE: QUA/ Ab/ j o�O[gj ADDRESS: /75 MI ! / St /144/11% !V sO Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, F.S 489.103(7). And I have read and understood the following disclosure statement, which entitles me to work as my own contractor; I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor. You have applied for a permit under an exception to the law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residence. You may also build or improve a commercial building at a cost of $25,000.00 or less (The new form states 75,000). The building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease a building you have built yourself within one year after the construction is complete, the law will presume that you built for sale or lease, which is a violation of this exemption. You may not hire an unlicensed personas a contractor. It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances. Any person working on your building who is not licensed must work under your supervision and must be employed by you, which means that you must deduct F.I.C.A and with -holdings tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. Initial A- 2. I understand that building permits are not required to be signed by a property owner unless he or she Is responsible for the construction and is not hiring a licensed contractor to assume responsibility. 3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. Initial E 4. I understand that I may build orimprove a one family, or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or tease, which violates the exemption. Initial •e i ;',I�ir 5. I understand that,-a`s"the owner -builder, I must provide direct, onsite supervision of the construction. Initial 6. . i understand that I may.not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence. It .is my responsibility to sure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial 7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done. Any person working on my building who is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for the employee. I understand that my failure to follow these may subject to serious financial risk. 9. 1 agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable laws and requirement that govern owner -builders as well as employers. I also understand that the Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Initial 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http://www.myfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. I am aware of, and consent to; an owner -builder building permit applied for in my name and understands that I am the party legally and financially responsible for the proposed construction activity at the following address: /95 Nw 7/ sr" .S-t r AU" FL 33/5° Initial 12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that`you sustain as a result of contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this By4741C •pr1%1C'.C7 Produced there License o� fL— ��\ink_ WNER day of �td,^4- , 20 I - who was personally known to me or who has • ,Es ••oy�as identifid<�' �cn;�co- O A. tY,.�= � I 4 / LL NOTARY Prepared by: Eric van der Vlugt, Esq. 1111 Kane Concourse Suite 209 Bay Harbor Islands, FL 33154 305-865-5718 File Number: 18-0339 Piriana Return To: Laura Bourne Burkhalter P.A. Laura Bourne Burkhalter, Esq. 1508 East LasOlas Blvd, Ste B Ft. Lauderdale, FL 33301 CFN: 20180326086 BOOK 30999 PAGE 1065 DATE:06/04/2018 01:33:19 PM DEED DOC 2,700.00 HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY [Space Above This Line For Recording Data] Warranty Deed This Warranty Deed made this 25th day of May, 2018 between David Piriano, a single man whose post office address is 1831 NE 38th Street, Unit 401, Fort Lauderdale, FL 33308, grantor, and Eric Bancroft and Danelle Bancroft, husband and wife, and Edward Jackson and Kim Jackson, husband and wife, as Tenants in Common whose post office address is 195 NW 91st Street, Miami Shores, FL 33150, grantees: • (Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals, and the successors and assigns of corporations, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantees, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantees, and grantee's' heirs and assigns forever, the following described land, situate, lying and being in Miami -Dade County, Florida to -wit: The West 135 Feet of the South 1/2 if the Southwest 1/4 of the Northwest 1/4 of the Southeast 1/4 in Section 1, Township 53 South, Range 41 East, less the North 169.25 feet thereof, and less the West 35 feet and the South 35 feet thereof, of the Public Records of Miami -Dade County, Florida. Property Address: 195 NW 92st Street, Miami Shores, FL 33150 Parcel Identification Number: 11-3101-000-0190 SUBJECT TO: 1) Taxes for the year .2018 and subsequent years and all applicable zoning ordinances and governmental regulations. 2) Conditions, restrictions, limitations, and easements of record, if any, but without the intention of reimposing -same. Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantees that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all' encumbrances, except taxes accruing subsequent to December 31, 2017. DoubleTime® CFN: 20180326086 BOOK 30999 PAGE 1066 In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written. Signed, seal ss red in our presence: David ' iriano State of Florida County of Miami -Dade The foregoing instrument was acknowledged before me this a/4 day of personally known or [X] has produced a driver's license as identification. [Notary Seal] GEROLD ERIC VAN DER VLUGT :,,: MY COMMISSION # GG 185882 EXPIRES: February 7 2022 "'''4e.F;$" Bonded Tlw Notary Public Underwriters i /r1,5VN fly: 4 fi (Seal) 018 by David Piriano, who [ ] is y Commission Expires: b✓ ■ ■ ©E ■ al ._�MNIM. M■ ■U■ ■ ■ ■ Lo.,,,I6 op ii Iimmmu �4„,„. i JuWO. 2018 v BAKs . it k ATINS G E Z rt1iU- ■